REAGAN H TAYLOR (NPI# 1669624805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669624805 |
| Entity Type | Individual |
| Full Name | REAGAN H TAYLOR |
| Other Name | REAGAN HYDER |
| Credential | PAC |
| Practice Address |
2415 N Orange Ave 400 Orlando FL 32804-5505 |
| Mailing Address |
12778 Garridan Ave Windermere FL 34786-6349 |
| Practice Telephone | 4073037399 |
| Mailing Telephone | 8654058443 |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2014-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9104826 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000680400 | 05 |
| Street Address |
2415 N ORANGE AVE 400 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32804-5505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962401331 | Nirav Y. Raval | Internal Medicine | 2415 N Orange Ave, Suite 600, Orlando, FL 32804-5505 | 2005-07-19 |
| 1356875819 | Damian Korsich | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave, Suite 400, Orlando, FL 32804-5505 | 2017-04-11 |
| 1710342803 | Jeffrey T Johnson | Nurse Practitioner | 2415 N Orange Ave, Suite 700, Orlando, FL 32804-5505 | 2015-12-16 |
| 1265817431 | Daniel Figueroa Tentori | Surgery | 2415 N Orange Ave, Suite 400, Orlando, FL 32804-5505 | 2015-07-29 |
| 1942605027 | Sarah Souverain | Nurse Practitioner | 2415 N Orange Ave, Suite 502, Orlando, FL 32804-5505 | 2014-10-30 |
| 1477957934 | Elidalis R Burgos | Nurse Practitioner | 2415 N Orange Ave, 700, Orlando, FL 32804-5505 | 2014-10-13 |
| 1932520111 | Amber Nicole Brennan | Nurse Practitioner | 2415 N Orange Ave, Suite 700, Orlando, FL 32804-5505 | 2013-12-14 |
| 1346529716 | Jeffrey Chiu | Surgery | 2415 N Orange Ave, Suite 400, Orlando, FL 32804-5505 | 2011-08-16 |
| 1043507825 | Hea Lyoung Lee | Nurse Practitioner | 2415 N Orange Ave, 700, Orlando, FL 32804-5505 | 2011-06-30 |
| 1134446313 | Frances K Smith | Dietitian, Registered | 2415 N Orange Ave, Suite # 700, Orlando, FL 32804-4603 | 2010-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881252716 | Alyssa Bass | Counselor | 3130 Edgewater Dr, Orlando, FL 32804 | 2019-06-05 |
| 1841856366 | Debora Cheryl Ramirez | Technician/Technologist | 1231 North Orange Ave, Orlando, FL 32804 | 2019-05-10 |
| 1679074009 | Jessica Dobbs | Counselor | 3801 Grant Blvd, Orlando, FL 32804 | 2018-02-21 |
| 1881109031 | Pedro Mendez Jr. | Counselor | 1800 W. Colonial Drive, Orlando, FL 32804 | 2017-12-11 |
| 1902259310 | Michael Lo | Nurse Practitioner | 2400 N Orange Ave Ste 302, Orlando, FL 32804 | 2016-07-20 |
| 1083093595 | Michael Gregg | Student in an Organized Health Care Education/Training Program | 2415 North Orange Avenue, Suite 400, Orlando, FL 32804 | 2015-05-29 |
| 1922485473 | Lindsay Rae Piet | Physician Assistant | 1910 N. Orange Ave., Orlando, FL 32804 | 2015-05-05 |
| 1093106189 | College Park Community Acupuncture & Herbal Medicine | Acupuncturist | 710 W. Princeton Street., Suite A, Orlando, FL 32804 | 2015-02-10 |
| 1164822359 | Orlando Sleep Solutions, LLC | Durable Medical Equipment & Medical Supplies | 2921 N. Orange Ave, Orlando, FL 32804 | 2014-08-26 |
| 1780926741 | Joseph Arturo Reza | Student in an Organized Health Care Education/Training Program | 2415 N Orange Ave #400, Orlando, FL 32804 | 2013-03-17 |
| Find all providers in zip 32804 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
| 1750843405 | Heather Louise Anderson | Physician Assistant | 5422 Lewiston St, Orlando, FL 32812 | 2019-04-02 |
| 1649600891 | Raul F Velez | Physician Assistant | 14139 Budworth Cir, Orlando, FL 32832-6123 | 2013-11-24 |
| 1255630075 | Joleen Chapman | Physician Assistant | 122 Annie St, Orlando, FL 32806-1214 | 2011-03-18 |
| 1124354600 | Tiffany M Murray | Physician Assistant | 83 W Copeland Dr, Orlando, FL 32806-2002 | 2009-10-19 |
| 1225277825 | M Catherine Broderick | Physician Assistant | 1720 S Cook Avenue, Orlando, FL 32808 | 2009-02-05 |
| 1033360938 | Monica M Rivera | Physician Assistant | 2591 Carrickton Cir, Orlando, FL 32824-4217 | 2008-10-09 |
| 1316104383 | Michele D Young | Physician Assistant | 3802 Oakwater Cir Ste 3, Orlando, FL 32806-6200 | 2008-05-19 |
| 1033162011 | Southeastern Clinical Services,inc. | Physician Assistant | 4215 Edgewater, Orlando, FL 32804 | 2006-05-18 |
| 1386696631 | Kevin P Kingsley | Physician Assistant | 2501 N Orange Ave Ste 411, Orlando, FL 32804-4644 | 2006-05-16 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.